Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system
Fibrin sheath formation is a leading culprit of central venous catheter malfunction. The complete removal of fibrin sheaths is an essential component of maintaining catheter patency, preventing future restenosis, and decreasing the risk of bloodborne infections. Treatment of fibrin sheaths includes...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008051 |
| _version_ | 1797398710615801856 |
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| author | Kamil Tomaszek, RN, BSN Feraz Rahman, MD, MS |
| author_facet | Kamil Tomaszek, RN, BSN Feraz Rahman, MD, MS |
| author_sort | Kamil Tomaszek, RN, BSN |
| collection | DOAJ |
| description | Fibrin sheath formation is a leading culprit of central venous catheter malfunction. The complete removal of fibrin sheaths is an essential component of maintaining catheter patency, preventing future restenosis, and decreasing the risk of bloodborne infections. Treatment of fibrin sheaths includes pharmacologic therapy, balloon angioplasty, catheter exchange, and mechanical stripping. In this article 3 cases are reviewed, 2 patients had long-term hemodialysis catheter malfunction and 1 had complications related to a chest port. On imaging, superior vena cava stenosis, occlusion, and/or filling defect were identified for all patients, as well as findings suggesting the presence of fibrin sheath. Description of these cases detail a new technique for fibrin sheath removal utilizing the ClotTriever System (Inari Medical, Irvine, CA), which is a mechanical thrombectomy device used for the treatment of deep vein thrombosis. This technique allowed for complete removal of the fibrin sheath via a minimally invasive interventional procedure which did not require access through the central venous catheter lumen. |
| first_indexed | 2024-03-09T01:29:25Z |
| format | Article |
| id | doaj.art-75fa236e81014bfa93792ec11556c948 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T01:29:25Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-75fa236e81014bfa93792ec11556c9482023-12-10T06:14:30ZengElsevierRadiology Case Reports1930-04332024-02-01192553566Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever systemKamil Tomaszek, RN, BSN0Feraz Rahman, MD, MS1Corresponding author.; Interventional Radiology, Silver Cross Hospital, 1890 Silver Cross Blvd, Suite 440, New Lenox, IL, USAInterventional Radiology, Silver Cross Hospital, 1890 Silver Cross Blvd, Suite 440, New Lenox, IL, USAFibrin sheath formation is a leading culprit of central venous catheter malfunction. The complete removal of fibrin sheaths is an essential component of maintaining catheter patency, preventing future restenosis, and decreasing the risk of bloodborne infections. Treatment of fibrin sheaths includes pharmacologic therapy, balloon angioplasty, catheter exchange, and mechanical stripping. In this article 3 cases are reviewed, 2 patients had long-term hemodialysis catheter malfunction and 1 had complications related to a chest port. On imaging, superior vena cava stenosis, occlusion, and/or filling defect were identified for all patients, as well as findings suggesting the presence of fibrin sheath. Description of these cases detail a new technique for fibrin sheath removal utilizing the ClotTriever System (Inari Medical, Irvine, CA), which is a mechanical thrombectomy device used for the treatment of deep vein thrombosis. This technique allowed for complete removal of the fibrin sheath via a minimally invasive interventional procedure which did not require access through the central venous catheter lumen.http://www.sciencedirect.com/science/article/pii/S1930043323008051Fibrin sheathCentral venous catheterizationCatheter obstructionDialysis catheter malfunctionSuperior vena cava syndromeClotTriever System |
| spellingShingle | Kamil Tomaszek, RN, BSN Feraz Rahman, MD, MS Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system Radiology Case Reports Fibrin sheath Central venous catheterization Catheter obstruction Dialysis catheter malfunction Superior vena cava syndrome ClotTriever System |
| title | Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system |
| title_full | Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system |
| title_fullStr | Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system |
| title_full_unstemmed | Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system |
| title_short | Case review and imaging: Treatment of central venous catheter associated fibrin sheath and chronic thrombus with the ClotTriever system |
| title_sort | case review and imaging treatment of central venous catheter associated fibrin sheath and chronic thrombus with the clottriever system |
| topic | Fibrin sheath Central venous catheterization Catheter obstruction Dialysis catheter malfunction Superior vena cava syndrome ClotTriever System |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008051 |
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